DIANE C JOHNSON

MOUNT VERNON, IL
NPI1518300268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149010033)
Enumeration Date2013-04-12
Last Update Date2013-04-12
Business Address
-- DIANE C JOHNSON LCSW
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864-2402
Phone number: 618-899-1435
Mailing Address
-- DIANE C JOHNSON LCSW
20178 N HAILS LN
TEXICO, IL 62889-2921
Phone number: 618-899-1435
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